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IF 1.8 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Maternal and Child Health Journal Pub Date : 2025-02-01 Epub Date: 2025-01-29 DOI:10.1007/s10995-025-04065-y

Jane Lazar Tucker, Kimberly Arcoleo, Diane DiTomasso, Brietta M Oaks, Howard Cabral, Thaís São-João

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引用次数: 0

摘要

研究目的本研究探讨了种族和民族与接受美国医院支持母乳喂养的爱婴医院倡议（BFHI）关键临床实践之间的关联：分析了 2016 年至 2019 年美国疾病预防控制中心 PRAMS 的全国数据。我们的样本包括 60,395 名开始母乳喂养健康足月新生儿的母亲。我们进行了调整回归分析，以比较接受支持母乳喂养的个别关键临床实践的几率，以及接受关键临床实践的百分比：结果：虽然某些关键临床实践的接受率很高，但只有不到 25% 的母亲接受了 100% 的推荐关键临床实践。与非西班牙裔白人母亲相比，来自不同种族和族裔群体的母亲接受 100% 关键临床实践的几率较低：非西班牙裔黑人[调整赔率（AOR）0.59，95% 置信区间（CI）（0.47-0.65）]、讲英语的西班牙裔[AOR 0.79，95% CI（0.71-0.88）]、讲西班牙语的西班牙裔[AOR 0.63，95% CI（0.53-0.73）]和非西班牙裔亚洲/太平洋岛民[AOR 0.54，95% CI（0.47-0.63）]：尽管美国 BFHI 医院的数量稳步增长，但在接受 BFHI 关键临床实践方面仍存在种族和民族差异。更多的美国医院必须采用 BFHI 关键临床实践，并对每个种族和民族群体持续实施这些实践。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Racial and Ethnic Disparities in Hospital Breastfeeding Care in the US.

Objectives: This study examines the associations between race and ethnicity and receipt of Baby Friendly Hospital Initiative (BFHI) key clinical practices that support breastfeeding in US hospitals.

Methods: National data from 2016 to 2019 CDC PRAMS were analyzed. Our sample included 60,395 mothers who initiated breastfeeding with healthy, term newborns. We conducted adjusted regression analyses to compare the odds of receiving individual key clinical practices that support breastfeeding, as well as the percent of key clinical practices received.

Results: While some key clinical practices were received at high rates, less than 25% of mothers received 100% of recommended key clinical practices. Compared to White non-Hispanic mothers, mothers from various racial and ethnic groups were at lower odds of receiving 100% of key clinical practices: Black non-Hispanic [adjusted odds ratio (AOR) 0.59, 95% confidence interval (CI) (0.47-0.65)], English-Speaking Hispanic [AOR 0.79, 95% CI (0.71-0.88)], Spanish-speaking Hispanic [AOR 0.63, 95% CI (0.53-0.73)], and Asian/Pacific Islander non-Hispanic [AOR 0.54, 95% CI (0.47-0.63)].

Conclusions for practice: Despite a steady increase in the number of BFHI hospitals in the US, there are racial and ethnic disparities in the receipt of BFHI key clinical practices. More US hospitals must adopt BFHI key clinical practices and consistently implement those practices for every racial and ethnic group.

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来源期刊

Maternal and Child Health Journal PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.20

自引率

4.30%

发文量

271

期刊介绍： Maternal and Child Health Journal is the first exclusive forum to advance the scientific and professional knowledge base of the maternal and child health (MCH) field. This bimonthly provides peer-reviewed papers addressing the following areas of MCH practice, policy, and research: MCH epidemiology, demography, and health status assessment Innovative MCH service initiatives Implementation of MCH programs MCH policy analysis and advocacy MCH professional development. Exploring the full spectrum of the MCH field, Maternal and Child Health Journal is an important tool for practitioners as well as academics in public health, obstetrics, gynecology, prenatal medicine, pediatrics, and neonatology. Sponsors include the Association of Maternal and Child Health Programs (AMCHP), the Association of Teachers of Maternal and Child Health (ATMCH), and CityMatCH.